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RIVER ROAD SURGERY CENTER LLC
NPI 1487620472
Clinic/Center - Ambulatory Surgical in Salem, OR

Active since February 28, 2006CLIA 38D0970240 · Waiver
3099 RIVER RD S, SUITE 100, SALEM, OR 97302(503) 361-3094(503) 485-2168 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About River Road Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER ROAD SURGERY CENTER LLC (NPI 1487620472) is a healthcare organization registered as an ambulatory surgical in Salem, Oregon and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Rochell Ann Blair Holmes, Business Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1487620472
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIVER ROAD SURGERY CENTER LLC
Location Address3099 RIVER RD S, SUITE 100Salem, OR 97302-9754
Mailing Address3099 River Rd S, Suite 100Salem, OR 97302-9754 · (503) 361-3094 · Fax (503) 485-2168
Phone(503) 361-3094
Fax(503) 485-2168
Organization SubpartNo
Authorized OfficialRochell Ann Blair HolmesBusiness Office Supervisor · (503) 485-2584
Enumeration DateFebruary 28, 2006
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1487620472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OR · 07 1529
3099 RIVER RD S, Salem, OR 97302
Open in Google Maps ↗

Other Identifiers 2

Medicaid239968OR
Medicare PINR107980OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0970240

River Road Surger Center, LLC · Salem, OR
Active · expires Feb 6, 2028
CLIA Number38D0970240
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorJohn S. Donovan
Laboratory Phone(503) 361-3094
Laboratory LocationRiver Road Surger Center, LLC3099 River Road South, Suite 100, Salem, OR 97302
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
25 services13 patients
Reshaping of nasal cartilage 30520
Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.
13 services13 patients

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADINE SMITH PALMATEER MA
Audiologist
3099 RIVER RD S
SALEM, OR 97302
Marion County (503) 485-2581
WILLAMETTE SLEEP SOLUTIONS LLC
Dentist
3099 RIVER RD S, SUITE 250
SALEM, OR 97302
Marion County (503) 485-2578
CRYSTAL MIYAKE MSCCCA
Audiologist
3099 RIVER RD S, STE 150
SALEM, OR 97302
Marion County (503) 485-2581
DR. CHRISTOPHER THOMAS PRZE MD
Otolaryngology
3099 RIVER RD S
SALEM, OR 97302
Marion County (503) 581-1567
DIANA PETERSON M.S, CCC-A
Audiologist
3099 RIVER RD S, STE 120
SALEM, OR 97302
Marion County (503) 485-2581
DR. JOHN DONOVAN MD
Otolaryngology
3099 RIVER RD S
SALEM, OR 97302
Marion County (503) 581-1567
BONNIE BROWN
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3099 RIVER RD S
SALEM, OR 97302
Marion County (503) 581-1567
BAREDU BONSO WOTCHA PHYSICIAN ASSISTANT
Physician Assistant
3099 RIVER RD S
SALEM, OR 97302
Marion County (503) 581-1567

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Road Surgery Center LLC's NPI number?

The NPI number for River Road Surgery Center LLC is 1487620472. It was assigned to this organization in the NPPES registry on February 28, 2006.

Where is River Road Surgery Center LLC located?

River Road Surgery Center LLC is located at 3099 River Rd S Suite 100, Salem, OR 97302. The listed phone number is (503) 361-3094.

What is River Road Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does River Road Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0970240) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does River Road Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list River Road Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for River Road Surgery Center LLC was last updated on February 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.